This quasi-experimental, pre- and posttest study evaluated the impact of a 9-month collaborative regional evidence-based practice (EBP) fellowship program on practice, attitude, knowledge, and perceived barriers associated with implementation of EBP. Three annual cohorts (N = 142) of nurses attending a fellowship program from 2008 to 2010 participated in this study. Paired t tests showed statistically significant increases in practice (+.82; p < .001) and knowledge/skills (+.78; p < .001) associated with EBP, but showed no change in attitude (+.16; p = .198). All four Barriers subscales showed statistically significant decreases (−.10 to −.31; p = .036 to <.001). Hierarchical multiple regression analyses showed that the barriers explained 6.8%, 8.9% and 13.9% of variances in practice, attitude and knowledge/skills, respectively. The collaborative regional fellowship program improved the practice and knowledge/skills associated with EBP. The barriers were significant predictors of the EBP implementation among the targeted group of nurses participating in the fellowship program.
AitkenL. M.HackwoodB.CrouchS.ClaytonS.WestN.CarneyD.JackL. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care. doi:10.1016/j.aucc.2011.01.004
2.
BennerP. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
3.
BrownC. E.EcoffL.KimS. C.WicklineM. A.RoseB.KlimpelK.GlaserD. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing, 19, 1944-1951.
4.
BrownC. E.WicklineM. A.EcoffL.GlaserD. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65, 371-381.
5.
ChangA. M.CroweL. (2011). Validation of scales measuring self-efficacy and outcome expectancy in evidence-based practice. Worldviews on Evidence-Based Nursing, 8(2), 106-115.
6.
CoomarasamyA.KhanK. S. (2004). What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. British Medical Journal, 329, 1017.
7.
DearholtS. L.WhiteK. M.NewhouseR.PughL. C.PoeS. (2008). Educational strategies to develop evidence-based practice mentors. Journal for Nurses in Staff Development, 24(2), 53-59.
8.
Fineout-OverholtE.MelnykB. M.SchultzA. (2005). Transforming health care from the inside out: Advancing evidence-based practice in the 21st century. Journal of Professional Nursing, 21, 335-344.
9.
FunkS. G.ChampagneM. T.WieseR. A.TornquistE. M. (1991). BARRIERS: The barriers to research utilization scale. Applied Nursing Research, 4(1), 39-45.
10.
GawlinskiA. (2008). The power of clinical nursing research: Engage clinicians, improve patients’ lives, and forge a professional legacy. American Journal of Critical Care, 17, 315-326.
11.
GreenhalghT.RobertG.MacfarlaneF.BateP.KyriakidouO. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581-629.
12.
GreinerC. A.KnebelE. (2003). Health professions education: A bridge to quality (Eds.). Washington, DC: National Academies Press. Retrieved from http://www.nap.edu/openbook.php?isbn=0309087236
13.
GrimshawJ. M.ShirranL.ThomasR.MowattG.FraserC.BeroL.. . . O’BrienM. A. (2001). Changing provider behavior: An overview of systematic reviews of interventions. Medical Care, 39(8 Suppl. 2), II2-I45.
14.
GutierrezF.SmithK. (2008). Reducing falls in a definitive observation unit: An evidence-based practice institute consortium project. Critical Care Nursing Quarterly, 31(2), 127-139.
15.
HockenberryM.WaldenM.BrownT.BarreraP. (2007). Creating an evidence-based practice environment: One hospital’s journey. Journal of Nursing Care Quality, 22, 222-231.
JeffersB. R.RobinsonS.LuxnerK.ReddingD. (2008). Nursing faculty mentors as facilitators for evidence-based nursing practice. Journal for Nurses in Staff Development, 24(5), E8-E12.
18.
KennyD. J.RichardM. L.CenicerosX.BlaizeK. (2010). Collaborating across services to advance evidence-based nursing practice. Nursing Research, 59(1 Suppl.), S11-S21.
19.
KhanK. S.CoomarasamyA. (2006). A hierarchy of effective teaching and learning to acquire competence in evidenced-based medicine. BMC Medical Education, 6, 59-67.
20.
KimS. C.BrownC. E.FieldsW.StichlerJ. F. (2009). Evidence-based practice-focused interactive teaching strategy: A controlled study. Journal of Advanced Nursing, 65, 1218-1227.
21.
KimS. C.IdekerK.Todicheeney-MannesD. (2011). Usefulness of Aggressive Behaviour Risk Assessment Tool for prospectively identifying violent patients in medical and surgical units. Journal of Advanced Nursing. doi:10.1111/j.1365-2648.2011.05744.x
22.
LevinR. F.Fineout-OverholtE.MelnykB. M.BarnesM.VetterM. J. (2011). Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: A pilot test of the advancing research and clinical practice through close collaboration model. Nursing Administration Quarterly, 35(1), 21-33.
23.
MarkD. D.LatimerR. W.HardyM. D. (2010). “Stars” aligned for evidence-based practice: A Triservice initiative in the Pacific. Nursing Research, 59(1 Suppl.), S48-S57.
24.
MelnykB. M. (2006). Calling all educators to teach and model evidence-based practice in academic settings. Worldviews on Evidence-based Nursing, 3(3), 93-94.
25.
MelnykB. M.Fineout-OverholtE.Fischbeck FeinsteinN.LiH.SmallL.WilcoxL.KrausR. (2004). Nurses’ perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift. Worldviews on Evidence-Based Nursing, 1(3), 185-193.
26.
MunroeD.DuffyP.FisherC. (2008). Nurse knowledge, skills, and attitudes related to evidence-based practice: Before and after organizational supports. Medsurg Nursing, 17(1), 55-60.
27.
ParahooK.BarrO.McCaughanE. (2000). Research utilization and attitudes towards research among learning disability nurses in Northern Ireland. Journal of Advanced Nursing, 31, 607-613.
28.
PravikoffD. S.TannerA. B.PierceS. T. (2005). Readiness of U.S. nurses for evidence-based practice. American Journal of Nursing, 105(9), 40-51.
29.
RogersE. M. (2003). Diffusion of innovation. New York, NY: Free Press.
30.
SherriffK. L.WallisM.ChaboyerW. (2007). Nurses’ attitudes to and perceptions of knowledge and skills regarding evidence-based practice. International Journal of Nursing Practice, 13, 363-369.
31.
SolomonsN. M.SprossJ. A. (2011). Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: An integrative review. Journal of Nursing Management, 19(1), 109-120.
TagneyJ.HainesC. (2009). Using evidence-based practice to address gaps in nursing knowledge. British Journal of Nursing, 18, 484-489.
34.
ThompsonC. J. (2006). Fostering skills for evidence-based practice: The student journal club. Nurse Education in Practice, 6(2), 69-77.
35.
UptonD.UptonP. (2006). Development of an evidence-based practice questionnaire for nurses. Journal of Advanced Nursing, 53, 454-458.
36.
VarnellG.HaasB.DukeG.HudsonK. (2008). Effect of an educational intervention on attitudes toward and implementation of evidence-based practice. Worldviews on Evidence-based Nursing, 5(4), 172-181.
37.
WallenG. R.MitchellS. A.MelnykB.Fineout-OverholtE.Miller-DavisC.YatesJ.HastingsC. (2010). Implementing evidence-based practice: Effectiveness of a structured multifaceted mentorship program. Journal of Advanced Nursing, 66, 2761-2771.
38.
WeeksS. M.MooreP.AllenderM. (2011). A regional evidence-based practice fellowship: Collaborating competitors. Journal of Nursing Administration, 41(1), 10-14.
